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A qualitative exploration of post-acute stroke participants' experiences of a multimodal intervention incorporating horseback riding

Pohl, Petra, (författare)
Linköpings universitet, Avdelningen för fysioterapi, Linköpings universitet, Medicinska fakulteten, Region Östergötland, Rörelse och Hälsa, Univ Gothenburg, Sweden
Carlsson, Gunnel, (författare)
Univ Gothenburg, Sweden
Kall, Lina Bunketorp, (författare)
Sahlgrenska Univ Hosp Molndal, Sweden; Univ Gothenburg, Sweden
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Nilsson, Michael, (författare)
Univ Gothenburg, Sweden; Univ Newcastle, Australia
Blomstrand, Christian, (författare)
Univ Gothenburg, Sweden
Bunketorp Käll, Lina, 1975- (författare)
Göteborgs universitet, Institutionen för neurovetenskap och fysiologi, sektionen för hälsa och rehabilitering, Gothenburg University, Institute of Neuroscience and Physiology, Department of Health and Rehabilitation
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Linköpings universitet Institutionen för medicin och hälsa. Avdelningen för fysioterapi. (creator_code:org_t)
Linköpings universitet Medicinska fakulteten. (creator_code:org_t)
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Region Östergötland Närsjukvården i centrala Östergötland. Rörelse och Hälsa. (creator_code:org_t)
Göteborgs universitet Sahlgrenska akademin. Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap. 
Göteborgs universitet Sahlgrenska akademin. Institutionen för neurovetenskap och fysiologi, sektionen för hälsa och rehabilitering. 
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Ingår i: PLoS ONE. - 1932-6203. ; 13:9
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  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
  • Background Multimodal rehabilitation interventions delivered in late phase of stroke recovery involve physical (motor and sensory), social, and cognitively challenging activities. Horseback riding can be incorporated within such interventions, leading to meaningful long-term improvements when applied to individuals with moderate levels of disability. There is a lack of research illuminating stroke survivors experiences and perceptions of horseback riding in the context of multimodal interventions. Aim To explore stroke survivors experiences of participation in a multimodal group-based intervention that included horseback riding. Methods An explorative interview study was conducted with individual face-to-face interviews performed on a single occasion, utilising a semi-structured interview guide. Eighteen participants were purposively selected from a larger trial (mean age 62, 12 men, 6 women) within four weeks after treatment completion. The interview duration was between 17 and 50 minutes. The data was analysed using a qualitative content analysis method. Findings Four broad themes were identified from the analysis. These themes were: transformative experiences; human-horse interaction; togetherness and belonging; and the all-in-one solution. Interacting with the horse and peers had a profound emotional impact on the participants. The participants also reported having learned new skills, increased self-efficacy and self-esteem, and improvements in balance and gait, all of which could be transferred to everyday life. The horse itself played a central role, but other components, such as the other group members, the instructors, and the challenging tasks on the horseback, were also important. Conclusion A multimodal rehabilitation intervention that includes horseback riding may provide stroke survivors in a late phase of recovery with rich pleasurable experiences that may have life-changing and profound impacts on their emotional and physical state.


MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper -- Arbetsterapi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Occupational Therapy (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Medicinska grundvetenskaper -- Neurovetenskaper (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Basic Medicine -- Neurosciences (hsv//eng)


equine-assisted activities

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